Care Transition Coordinator, RN

2 weeks ago


Largo, United States BayCare Health System Full time

**There’s home care and then there’s BayCare HomeCare**At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.BayCare is currently in search of our newest **Care Transition Coordinator, RN** with BayCare HomeCare who is passionate about providing outstanding customer service to our home care community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.**Position details:**+ **Facility:** Home Care Pharmacy+ **Location:** Largo, FL+ **Full time, on-site, work requirement**+ **Status:** Full time, salary+ 8:00 AM - 5:00 PM+ Every 3rd weekend from 9:00 AM - 6:00 PM+ **On Call:** NoWhen you become a BayCare Nurse, we support your personal and professional growth by offering a range of benefits, educational opportunities and a healthy work-life balance:+ Benefits (Health, Dental, Vision)+ Paid time off+ Tuition reimbursement+ 401k match and additional yearly contribution+ Yearly performance appraisals and leadership award+ Community discounts and more+ Relocation assistance if eligible+ **AND the Chance to be part of an amazing team and a great place to work**The Care Transition Coordinator, RN is responsible for transitions of care from acute and subacute setting to home with home health care.+ Provide education of homecare services to community groups and physicians.+ Collaborate with business development team in gaining and maintaining market share through referral intake process.+ Collaborate with referral sources in transitions of care.+ Timely communication with all referrals sources telephonically as well as through electronic platforms.+ Provide clear concise referral provided to homecare division meeting all regulatory, payer, and safety requirements.+ Completion of preadmission assessment and education to patient and caregiver of homecare services.+ Coordination of Homecare and Pharmacy as well as communication with referral sources and physicians.+ Responsible for knowledge of Medicare and Managed Care regulations and requirements.+ Timely response to referrals sources, providers, and leadership is essential.+ Responsible for documenting face to face encounter, verifying POC and following Physicians which is a condition of payment.+ Oversight of Care Coordination Assistant team.+ Identifies patients appropriate for disease management programs and telehealth.+ Performs ICD-10 coding of referrals.+ Identifies potential MSP scenarios.+ Responsible for leading MDI huddles on rotation basis.+ Monitors and communicates referral source activity acting as one point of contact for referral sources, home health, and infusion.+ Will be responsible for additional transitions of care duties as assigned.**Requirements:**+ Active/Clear Florida RN license is required.+ Required Associate's Nursing or Diploma Nursing+ CCMC Certification preferred+ Preferred Bachelor's Nursing+ Preferred 3 years Nursing+ Preferred 1 year Home Care_Equal Opportunity Employer Veterans/Disabled_**Position** Care Transition Coordinator, RN**Location** US:Florida:Largo:HomeCare Largo | Nursing | Full Time**Req ID** null



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